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Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction
Foot/ankle problems remain important issues in rheumatoid arthritis (RA) patients. Although forefoot deformity generally takes a major place in surgical treatment, concomitant mid-hindfoot deformity is also commonly seen. In this situation, it can be easy to overlook that mid-hindfoot deformity can...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508320/ https://www.ncbi.nlm.nih.gov/pubmed/34639346 http://dx.doi.org/10.3390/ijerph181910037 |
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author | Noguchi, Takaaki Hirao, Makoto Tsuji, Shigeyoshi Ebina, Kosuke Tsuboi, Hideki Etani, Yuki Akita, Shosuke Hashimoto, Jun |
author_facet | Noguchi, Takaaki Hirao, Makoto Tsuji, Shigeyoshi Ebina, Kosuke Tsuboi, Hideki Etani, Yuki Akita, Shosuke Hashimoto, Jun |
author_sort | Noguchi, Takaaki |
collection | PubMed |
description | Foot/ankle problems remain important issues in rheumatoid arthritis (RA) patients. Although forefoot deformity generally takes a major place in surgical treatment, concomitant mid-hindfoot deformity is also commonly seen. In this situation, it can be easy to overlook that mid-hindfoot deformity can also induce or exacerbate clinical problems behind the forefoot events. Thus, the relationship between mid-hindfoot deformity/destruction and physical activity/ADL was investigated. Radiographic findings of 101 lower limbs (59 patients) were retrospectively evaluated. Alignment parameters in the lower extremity and joint destruction grade (Larsen grade) were measured. The timed-up-and-go (TUG) test, modified health assessment questionnaire (mHAQ), pain, self-reported scores for the foot and ankle (SAFE-Q), and RA disease activity were investigated to assess clinical status. The relationships among these parameters were evaluated. Subtalar joint destruction was correlated with TUG time (r = 0.329), mHAQ score (r = 0.338), and SAFE-Q: social functioning (r = 0.332). TUG time was correlated with the HKA (r = −0.527), talo-1st metatarsal angle (r = 0.64), calcaneal pitch angle (r = −0.433), M1-M5A (r = −0.345), and M2-M5A (r = −0.475). On multivariable linear regression analysis, TUG time had a relatively strong correlation with the talo-1st metatarsal angle (β = 0.452), and was negatively correlated with calcaneal pitch angle (β = −0.326). Ankle joint destruction was also correlated with TUG time (β = 0.214). Development of structural problems or conditions in mid-hindfoot, especially flatfoot deformity, were related with decreased physical activity in RA patients. Wearing an insole (arch support) as a preventative measure and short foot exercise should be considered from the early phase of deformity/destruction in the mid-hindfoot in the management of RA. |
format | Online Article Text |
id | pubmed-8508320 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-85083202021-10-13 Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction Noguchi, Takaaki Hirao, Makoto Tsuji, Shigeyoshi Ebina, Kosuke Tsuboi, Hideki Etani, Yuki Akita, Shosuke Hashimoto, Jun Int J Environ Res Public Health Article Foot/ankle problems remain important issues in rheumatoid arthritis (RA) patients. Although forefoot deformity generally takes a major place in surgical treatment, concomitant mid-hindfoot deformity is also commonly seen. In this situation, it can be easy to overlook that mid-hindfoot deformity can also induce or exacerbate clinical problems behind the forefoot events. Thus, the relationship between mid-hindfoot deformity/destruction and physical activity/ADL was investigated. Radiographic findings of 101 lower limbs (59 patients) were retrospectively evaluated. Alignment parameters in the lower extremity and joint destruction grade (Larsen grade) were measured. The timed-up-and-go (TUG) test, modified health assessment questionnaire (mHAQ), pain, self-reported scores for the foot and ankle (SAFE-Q), and RA disease activity were investigated to assess clinical status. The relationships among these parameters were evaluated. Subtalar joint destruction was correlated with TUG time (r = 0.329), mHAQ score (r = 0.338), and SAFE-Q: social functioning (r = 0.332). TUG time was correlated with the HKA (r = −0.527), talo-1st metatarsal angle (r = 0.64), calcaneal pitch angle (r = −0.433), M1-M5A (r = −0.345), and M2-M5A (r = −0.475). On multivariable linear regression analysis, TUG time had a relatively strong correlation with the talo-1st metatarsal angle (β = 0.452), and was negatively correlated with calcaneal pitch angle (β = −0.326). Ankle joint destruction was also correlated with TUG time (β = 0.214). Development of structural problems or conditions in mid-hindfoot, especially flatfoot deformity, were related with decreased physical activity in RA patients. Wearing an insole (arch support) as a preventative measure and short foot exercise should be considered from the early phase of deformity/destruction in the mid-hindfoot in the management of RA. MDPI 2021-09-24 /pmc/articles/PMC8508320/ /pubmed/34639346 http://dx.doi.org/10.3390/ijerph181910037 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Noguchi, Takaaki Hirao, Makoto Tsuji, Shigeyoshi Ebina, Kosuke Tsuboi, Hideki Etani, Yuki Akita, Shosuke Hashimoto, Jun Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction |
title | Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction |
title_full | Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction |
title_fullStr | Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction |
title_full_unstemmed | Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction |
title_short | Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction |
title_sort | association of decreased physical activity with rheumatoid mid-hindfoot deformity/destruction |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508320/ https://www.ncbi.nlm.nih.gov/pubmed/34639346 http://dx.doi.org/10.3390/ijerph181910037 |
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